go back

Mississippi rates for HCPCS J1260

Injection Dolasetron Mesylate 10 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.77 / $8.44 / $8.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.77 / $5.98 / $8.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.63 / $5.63 / $6.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.17 / $6.17 / $7.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $6.17 / $6.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.20 / $12.20 / $16.10